I've already state earlier in the thread that her chances of getting the insanity acquittal are very, very small. Forget what you've seen in lawyer TV - there hasn't been a successful insanity defense in a murder trial in Madison County in many years. That includes people who exhibited a lot crazier behavior than Dr. Bishop. It can't be ruled out completely, but I'd put her chances at less than 1%. If she should get acquitted on insanity or mental defect, then she is remanded to the custody of the state dept of mental health, to be held until she's no longer insane or until, if still insane, she's no longer a danger to herself or others. This takes the authority notifying the court and a hearing being held before release. Sections 15-16-60 et seq. Code of Alabama (1975). As a practical matter, how could she ever be so certified, since she's taken at least four lives at this point. IOW, it would be a life sentence. In her calculations and planning for this crime, she should have researched more carefully how often the insanity plea succeeds here and what would happen to her after acquittal.